Article: Medicaid managed care and urban poor people: implications for social work.

Managed care is rapidly becoming the predominant method of financing and delivering health care to Medicaid recipients. The shift from Medicaid fee-for-service arrangements to managed care has important implications for the health care available to low-income and uninsured people living in U.S. cities. It also presents significant new challenges to the financial viability of urban "safety-net" providers - that is, the public hospitals, academic medical centers, community health centers, local health department clinics, school-based clinics, and other community-based health care providers that traditionally serve residents of low-income urban communities.

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